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This important ground-breaking book offers a new approach for understanding and treating Alzheimer's disease. Although there is no cure for this illness, treatment is available for the behavioral and psychosocial problems associated with the course of the disease. Written primarily for physicians, psychiatrists and other mental health professionals who treat people with Alzheimer's disease, this book is also important reading for anyone who has a family member with the infirmity to learn what can be done to alleviate patient suffering and help reduce family burden and stress
The guideline offers clear, concise, and actionable recommendation statements to help clinicians to incorporate recommendations into clinical practice, with the goal of improving quality of care. Each recommendation is given a rating that reflects the level of confidence that potential benefits of an intervention outweigh potential harms.
The American Psychiatric Publishing Textbook of Alzheimer Disease and Other Dementias is an up-to-date and comprehensive overview of dementia for psychiatrists and other health care practitioners who deal with cognitively impaired adults in outpatient, inpatient, and long-term care settings. With content ranging from clinical guidance to basic research, it contains information on nearly every subject related to dementing conditions or illnesses -- not only providing extensive coverage of clinical management issues but also enabling a deeper understanding of the causes of dementia. Designed to assist the practitioner faced with everyday dilemmas, from dosages of antipsychotic drugs to legal and ethical issues, this textbook describes in detail the most common conditions and diseases leading to dementia and covers pharmacologic, behavioral, and environmental treatments. It also considers a broader range of cognitive disorders and impairment in order to help practitioners recognize and treat primary brain diseases and systemic disorders affecting the brain before they reach the stage of dementia. Building on the editors' earlier work The Dementias: Diagnosis, Treatment, and Research, this new book expands on its scope, with nearly twice the number of contributors -- all clinicians or researchers at the vanguard of the field. New to this edition are chapters on epidemiology, history of dementia, biomarkers for Alzheimer disease, care of the late-stage dementia patient, prevention of dementia, and chapters devoted to: Vascular cognitive impairment, emphasizing the importance of early detection with development of appropriate treatments and risk factor control Dementia with Lewy bodies and other synucleinopathies, describing differences in cognitive profile between synucleinopathies and Alzheimer disease Frontotemporal dementias, including behavioral and language variants Traumatic brain injury, distinguishing between proximal and distal effects and risk factors for dementia later in life An abundance of charts and illustrations, extensive references and additional readings, and chapter-end key points make this a practical volume for learning, while appendixes include easily administered instruments useful in daily practice for grading cognition, day-to-day function, neuropsychiatric symptoms, and quality of life. Whether used as a clinical guide or as a sourcebook on technical and scientific developments, The American Psychiatric Publishing Textbook of Alzheimer Disease and Other Dementias is an important reference for psychiatrists, neurologists, geriatricians, primary care physicians, and other health professionals who deal with cognitively impaired adults.
The book provides readers with evidence-based, pragmatic, and clear recommendations regarding the care of patients with behavioral and psychological symptoms of dementia.
Developed by experts in the field, the American Psychiatric Association Practice Guideline for the Treatment of Patients With Alzheimer's Disease and Other Dementias of Late Life provides invaluable assistance to psychiatrists and other mental health professionals who care for patients with Alzheimer's disease, Parkinson's disease, Lewy body disease, Pick's disease, and other frontal lobe dementias. This inclusive guideline contains important advice on the development of an individual, long-term treatment plan that can accommodate the changing nature of these illnesses and address new issues as they arise. It outlines psychiatric management--the cornerstone of the treatment of patients with dementia--and then reviews the specific psychosocial interventions and pharmacological options available. The guideline then discusses special considerations for elderly and dementia populations and describes the factors that may modify treatment decisions, including comorbid conditions, site-specific issues, and demographic and social factors. Directions for future research are also examined. Using these guidelines, clinicians can provide long-term treatment and management of their patients with dementia and enable them to live their remaining years with dignity and in comfort. CME credit is available by completing a CME self-study test based on the material presented in this practice guideline, then mailing the form and the fee to the APA Office of Education. The American Psychiatric Association (APA) is accredited by the Accreditation Council for Continuing Medical Education to sponsor continuing medical education for physicians. The APA designates this educational activity for up to 3.0 hours in Category 1 credit toward the Physicians Recognition Award of the American Medical Association and for the CME requirement of the APA. Each physician should claim only those hours of credit that he/she actually spent in the educational activity.
This book provides a practically focused resource on the methodologies available for diagnosing and treating Alzheimer’s disease. The number of individuals affected by the disease continues to grow and as such there is an ever-increasing need for clear easy-to-digest guidance on how to appropriately diagnose and treat these patients. Within this work, chapters provide concise informative details of what this form of dementia is, how it can be diagnosed, managed and prevented making it ideal for those with limited experience in dealing with these patients. Information is provided on how to use a variety of the latest relevant techniques including mental state examinations, functional assessments, special investigations and the available drug treatments. Alzheimer’s Disease: Diagnosis & Treatment Guide is a concise clinical guide detailing how to diagnose and treat these patients. It’s easy-to-follow ideal for use by front-line physicians and trainees, who have no previous experience of diagnosing and treating this disease. The assessment component of the book is based on the WHO Mental Health Gap Action Plan (mhGAP) Dementia Intervention Guide for non-specialized settings.
Nearly 44 million people have Alzheimer’s or related dementia worldwide, according to the Alzheimer’s Disease International organization. That number is expected to double every 20 years. Unlike other books on the market, Alzheimer's Disease: Understanding Biomarkers, Big Data, and Therapy covers recent advancements in cognitive, clinical, neural, and therapeutic aspects of Alzheimer’s and other forms of dementia. First, readers are introduced to cognitive and clinical studies, focusing on the different types of memory impairment, past and future thinking. This includes the prevalence of depression, its relationship to other symptoms, and the quality of life for those with Alzheimer’s disease. In addition, the book discusses recent studies on memory dysfunction in advanced-stage Alzheimer’s disease, in comparison to early-stage, including a chapter on the underlying factors in the transition from mild cognitive impairment to Alzheimer’s diagnosis. Following this section, the book presents recent studies on the role of different cortical and subcortical structures in the development of various symptoms in Alzheimer’s disease, as well as different neural biomarkers underlying the development and treatment of the disease. In the last section of the book, therapeutic aspects of Alzheimer’s disease, focusing on behavioral and pharmacological treatments of sleep disorders, memory problems, and depression, are reviewed. The book aids readers in understanding the advances in research and care, making it a prime tool for all clinicians, psychologists, researchers, neurologists, and caregivers of dementia patients. Reviews recent developments of cognitive and clinical studies Covers factors underlying the transition from mild cognitive impairment to Alzheimer’s disease Discusses different neural biomarkers underlying the development and treatment of Alzheimer’s disease Provides a comparison of the effectiveness of various types of treatments
This book offers practical age-adjusted recommendations to treat the most common psychiatric symptoms and syndromes in the geriatric patient. The principles described here are not new; advice for prescribing to the aging patient has always been to "start low, go slow." This book fleshes out that dictum based on research evidence, clinical experience, and trends in the literature. An age-adjusted approach endorses medication interventions when needed as part of a comprehensive treatment plan. A combination of psychotherapeutic interventions, non-pharmacological modalities, and judiciously managed medications can improve quality of life and minimize risks inherent in pharmacotherapy applied to aging physiology. Age-Adjusted Psychiatric Treatment for the Older Patient is divided into five sections, covering the foundations of evaluation and treatment, neurocognitive disorders, psychiatric syndromes, therapeutics and interventions, and special topics. Each chapter begins with a complex case example that illustrates the topic. It then reviews current evidence-based evaluation and treatments. Age-adjusted recommendations, distilled from the literature, are offered at the end of each chapter. The intent is to provide actionable advice to supplement, but not supplant, good clinical judgement, which can improve quality of life by managing psychiatric symptomatology while averting untoward results. This volume is an essential guide for experienced clinicians as well as trainees across many health care disciplines, both generalists and geriatric specialists, who all see increasing numbers of aged patients with psychiatric symptomatology.
Alzheimer’s disease (AD) is a devastating and dehumanizing illness affecting increasingly large numbers of elderly and even middle-aged persons in a worldwide epidemic. Alzheimer’s Disease: A Physician’s Guide to Practical Management was written by selected clinicians and scientists who represent some of the world’s leading centers of excellence in AD research. The editors are proud and grateful for their profound contributions. This book is particularly designed to assist physicians and other health-care professionals in the evaluation, assessment, and treatment of individuals with AD. At the same time, by illuminating the basic scientific background, we hope to provide state-of-the art information about the disease and possible future therapeutic strategies. The recent psychiatric treatment aspects of AD are also clearly presented. Because the early diagnosis of the dementia process is now considered of increasing importance, we focus particularly in several chapters on early changes and preclinical conditions, such as mild cognitive impairment and predementia AD.